Novel Approach to Intractable Pectoralis Major Muscle Spasms Following Submuscular Expanderimplant Breast Reconstruction
Why this work is in the frame
A frame that forgets how it found something cannot be audited. These are the routes that admitted this work.
Bibliographic record
Abstract
Implant-based breast reconstruction is the most commonly used reconstructive modality following mastectomy. Placement of the tissue expander and implant under the pectoralis major muscle is believed to minimize the incidence of capsular contracture, provide adequate soft tissue coverage, and minimize implant visibility and palpability. However, utilization of the submuscular pocket can be associated with discomfort, which may originate from stretching of the cutaneous envelope, distension of the underlying muscle or, rarely, from spasms of the pectoralis major muscle. A case of intractable and involuntary pectoralis major spasms following submuscular implant-based breast reconstruction is presented. An ultrasound-guided pectoral intrafascial plane block is shown to be an effective diagnostic modality, implicating the medial and lateral pectoral nerves in these spasms. The clinical anatomy literature pertaining to the course and branches of the medial and lateral pectoral nerves is reviewed.
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Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.001 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it